NPIMap

Organization Active NPI

Wiregrass Drugs, Inc.

Doing business as center drug company

  • Durable Medical Equipment & Medical Supplies
  • Geneva, AL
National Provider Identifier
1811986086
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102190 Issued in AL
Legal business name
WIREGRASS DRUGS, INC.
Doing business as
center drug company
Practice address
702 W Maple Ave
Geneva, AL 36340-1632
Phone
(334) 684-0453
Fax
(334) 684-9404
NPI assigned
Oct 19, 2005
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Thomas C Sharpe
Title
Vice President
Phone
(229) 435-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102190 AL Primary

Addresses

Primary practice location

702 W Maple Ave
Geneva, AL 36340-1632

Mailing address

PO Box 72188
Albany, GA 31708-2188
Phone (229) 435-4571

Other identifiers 3

IdentifierTypeStateIssuer
000051047MedicaidAL
100432801MedicaidFL
51051047OtherALBC/BS

Other names 1

  • center drug company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930012677 AL DME Supplier - Pharmacy 8628195112 Practice locations: Geneva, AL
O20121119000541 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8628195112 Practice locations: Geneva, AL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2308516Center Drug Co702 West Maple Avenue, Geneva, AL 36340Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Center Drugs12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1811986086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72188",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082188",
            "telephone_number": "229-435-4571",
            "fax_number": "229-435-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401632",
            "telephone_number": "334-684-0453",
            "fax_number": "334-684-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "229-435-4571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "102190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051047",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100432801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51051047",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "center drug company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "center drug company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.